| Jonathan William Ceral Brock, MD, PHD | |
|
2318a Sunset Blvd, West Columbia, SC 29169-4716 | |
| (803) 796-9200 | |
| (803) 462-0312 |
| Full Name | Jonathan William Ceral Brock |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2318a Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417210279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD34729 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan William Ceral Brock, MD, PHD 601 Clemson Rd, Columbia, SC 29229-4341 Ph: (803) 788-6146 | Jonathan William Ceral Brock, MD, PHD 2318a Sunset Blvd, West Columbia, SC 29169-4716 Ph: (803) 796-9200 |
Sara Sheehan Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3240 Sunset Blvd, West Columbia, SC 29169 Phone: 803-359-8855 Fax: 803-794-6480 | |
Amanda Lynn Goodno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 N 12th St, West Columbia, SC 29169 Phone: 803-217-0415 Fax: 803-939-1650 | |
Larry C Smith Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 172 Mcswain Drive, Suite A, West Columbia, SC 29169 Phone: 800-809-1265 Fax: 803-771-7782 | |
Dr. Sharada M Pai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 209 Timber Ridge Dr, West Columbia, SC 29169 Phone: 803-794-5307 | |
Katherine Joy Atkinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 N 12th St, West Columbia, SC 29169 Phone: 803-217-0415 Fax: 803-939-1650 | |
Ronnie W Neuberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 |